Guías de práctica clínica de la SERVManejo de las complicaciones oculares de la diabetes. Retinopatía diabética y edema macular

  1. A. Pareja-Ríos
  2. M.A. Serrano-García
  3. M.D. Marrero-Saavedra
  4. V.M. Abraldes-López
  5. M.A. Reyes-Rodríguez
  6. F. Cabrera-López
  7. M. López-Gálvez
  8. P. Cardona-Guerra
  9. P. Abreu-Reyes
  10. E. Quijada-Fumero
  11. A. Coronado-Toural
  12. E. Gutiérrez-Sánchez
  13. M.A. Gil-Hernández
  14. P. Valls-Quintana
  15. R. Navarro-Alemany
  16. Marín Olmos, F.
Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2009

Volume: 84

Issue: 9

Pages: 429-450

Type: Article

DOI: 10.4321/S0365-66912009000900003 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Archivos de la Sociedad Española de Oftalmologia

Abstract

Objective: Diabetes mellitus is considered the most common cause of blindness in the working population of industrialized countries, with diabetic macular edema being the most common cause of decreased visual acuity and proliferative diabetic retinopathy (PDR) being responsible for the most severe visual deficits. We have therefore tried to establish a guide for clinical intervention whose purpose is to provide orientation on the treatment of diabetic retinopathy and its complications. This is necessary at a time when many treatment options have emerged whose role is not yet fully defined. Method: A group of expert retina specialists selected by the SERV (Vitreous-Retina Spanish Society) assessed the published results of different treatment options currently available, suggesting lines of action according to the degree of diabetic retinopathy present and the presence or absence of macular edema. Results: PDR is primarily treated with pan-retinal photocoagulation. For clinically significant diabetic macular edema without signs of vitreomacular traction, the treatment of choice continues to be focal/grid photocoagulation. Similarly, retinovitreal surgery is indicated for both conditions. The use of antiangiogenic drugs was also analyzed but remains inconclusive. Conclusion: Laser therapy is effective in the management of diabetic retinopathy and diabetic macular edema. The role of antiangiogenics is not yet sufficiently defined.

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